Provider Demographics
NPI:1912986175
Name:CARRIGAN, CLAUDIA DEE (CRNA)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DEE
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2341
Mailing Address - Country:US
Mailing Address - Phone:717-380-5397
Mailing Address - Fax:717-391-7821
Practice Address - Street 1:221 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2341
Practice Address - Country:US
Practice Address - Phone:717-380-5397
Practice Address - Fax:717-391-7821
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN541664367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA070775Medicare ID - Type Unspecified